Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Srinivasa Reddy Vaka, MD

Individual provider Internal Medicine Physician · NPI 1184863938

Dr. Srinivasa Reddy Vaka, MD is an Internal Medicine in Maple Grove, Minnesota. Qualified in 1997, 29 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arkansas and Minnesota.

Years since qualifying
29
Licensed in
AR, MN
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Fairview Clinics-Bass Lake 6320 Wedgwood Rd N
Maple Grove, MN 55311-3647
Phone: (763) 268-0400
Fax: (763) 268-0405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Park Dr, Benton, AR 72015-3353 — (501) 776-6093

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 65117 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence E7137 (AR)
Hospitalist Physician Taxonomy 208M00000X · Licence E7137 (AR)

Record details

NPI number1184863938
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 17, 2009
Last updated in NPPESSeptember 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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